Adult Feeds Flashcards
(26 cards)
Pediasure
Complete balanced nutrition for children 8-30kg
1-10yrs of age
Used as complete nutrition or supplement
Gluten and lactose* free
Not for galactosaemia*
Contains whey
Protein:
intact; 2.98g/100ml
100kcal/100ml
Lactose-free
Macronutrients:
44-53% CHO
35-45% fat
12-15% protein
Vitamin & minerals: 100% RDA or AI in 900-1300ml
FrebiniOriginal (Fresenius Kabi)
•Continuous tubefeeding
•FTT
•Neurological impairment
•Trauma
•Post-surgery
•Chronic wasting diseases
Per 100ml
–100kcal
–12.5g CHO (maltodextrin)
–0g fibre
–2.8g prot(cow’s mik)
–4.4g fat (MCTs 0.89g; fish oil)
–Taurine, carnitne, & inositol
Polymeric Formulas: fibre-containing
Frebini energy fibre
•Continuous tubefeeding
– Failure to thrive
– Neurological impairment
– Trauma
– Chronic wasting diseases
– Fluid restriction
High-caloric: 1.5kcal/ml
Per 100ml:
–150kcal
–3.8g Prot(Milk)
–6.67g fat (MCT-1.3g/100ml; fish oil, rapeseed oil)
–CHO: 19.2g (Maltodextrin; sucrose)
–Fibre: 1.1g (Inulin, cellulose, wheat dextrin)
–1-12yrs of age
Extensively-hydrolysed Formulas
Nutricia Nutricia peptisorb / peptamen junior
Protein broken down into peptides & free amino acids.
Situations where GIT is compromised
Macronutrient distribution comparable to polymeric formulas.
Continuous tubefeeding
Bolus feeding
Nutrient-dense Feeds
•Contains 1.5kcal/ml
•Nutritionally complete enteral tube feed
•fibre
•Children aged 1-10 years or 8-30kg body weight
•at risk of malnutrition
•Increased energy and protein requirements or are fluid restricted.
•Clinically free from lactose.
indications:
–short bowel syndrome
–intractable malabsorption
–pre-operative preparation of patients who are undernourished
–patients with proven inflammatory bowel disease
–following total gastrectomy
–bowel fistulae
–dysphagia,
–disease related malnutrition and growth failure
Amino acid based Formulas
Neocate junior with prebiotics
•Hypoallergenic–based on 100% free non-allergenic amino acids
•Milk protein and soy free
•Nutritionally complete which means it contains the nutrients required to support growth and development
•Compromised GIT such as SBS & malabsorption
•Multiple food allergies
Calorie distribution
–46-63% CHO
–25-45% fat
–10-15% protein
–67kcal/100ml
–1.8g/100ml prot
•13 years and younger
•Adolescents: adult products
•Adult products: lower in vitD, Ca & P –need to supplement
Supplemental Drinks
Used when child ‘s nutritional needs are not being met by oral food intake or for when catch-up growth is needed
Frebini Energy drinks
Frebini energy fibre drinks
fresubin jucy
NutriniDrink
Fortijuice
FrebiniEnergy Drinks (Fresenius Kabi)
High-caloric (1.5 kcal/ml)
With medium chain triglycerides
With taurine, carnitine and inositol
Fibre-free
Flavours:
–Banana
–Strawberry
One bottle = 200ml
•Energy density:1.5 kcal/ml
•Energy distribution per 100ml
–Protein: 10.2 energy %
–Fat: 40 energy %
–Carbohydrates: 49.8%E
–Fibre: 0 energy %
–Water :79 ml/100 ml
For children aged 1–12 years with high energy needs
Indications:
–Failure to thrive
–Cystic fibrosis
–Crohn’s disease
–Chronic wasting diseases (e.g. cancer, HIV/AIDS)
Frebini Energy Drinks recommended dose
Supplementary nutrition
1-3 EasyBottles
300-900 kcal
For complete nutrition
1–3 years
3-5 EasyBottles
900-1500 kcal
4–6 years
5-6 EasyBottles
1500-1800 kcal
7–10 years
6-7 EasyBottles
1800-2100 kcal
11–12 years
7-8 EasyBottles
2100–2400 kcal
FrebiniEnergy Fibre Drinks (Fresenius Kabi)
Nutritionally complete high energy drink with fibre
–Lactose & gluten-free
–1.5kcal/ml
–CHO (48.3%TE)
–Prot(10.2% TE)
–Fat (40% TE); MCT
–Fibre (incl. probiotic fibre)
- water: 79ml/100ml
–Children: 1-12yrs with high energy needs
–Taurine, carnitine & inositol
Flavours:
–Vanilla
–chocolate
•Indications:
–Failure to thrive
–Cystic fibrosis
–Crohn’s disease
–Chronic wasting diseases (e.g. cancer, HIV/AIDS)
Frebini Energy Fibre Drinks recommended daily dosage
For supplementary nutrition
1-3 EasyBottles
300-900 kcal
For complete nutrition
1–3 years
3-5 EasyBottles
900-1500 kcal
4–6 years
5-6 EasyBottles
1500-1800 kcal
7–10 years
6-7 EasyBottles
1800-2100 kcal
11–12 years
7-8 EasyBottles
2100–2400 kcal
Fresubin Jucy
•High caloric (1.5kcal/ml)
•With 100% whey protein
•Juice style
•Fat free
•Lactose and gluten free
Flavours:
–Blackcurrant
–Apple
–Orange
–Pineapple
Dietary management of:
– disease related malnutrition
– short bowel syndrome
– intractable malabsorption
– pre-operative preparation of malnourished patients
– dysphagia
– proven inflammatory bowel disease
– following total gastrectomy
– bowel fistula
•For enteral use only.
•Not suitable for infants under 1 year of age.
•Not suitable as a sole source of nutrition.
•Not suitable for patients with Galactoseamia.
•Use with caution in children under 6 years
Fresubin Jucy %breakdown & dosage
Energy density: 1.5kcal/ml
Energy distribution:
–CHO: 89% E
–Protein: 11%E
–Fat: 0% E
–Fibre: 0% E
Daily recommendation for supplementary nutrition:
–2-3 Easy bottles (600-900kcal)
NutriniDrink (Nutricia)
High energy, nutritionally complete
Milkshake style supplemental drink
Gluten & lactose free
Composition per 100ml:
–150kcal
–3.4g Prot( 9% of energy)
–18.8g CHO
–6.8g fat
–0g fibre
Fortijuice (Nutricia)
High energy juice tasting supplemental drink
Gluten, fibre, lactose and fat-free
Composition per 100ml:
–150kcal
–4.0g protein (10.7% of energy)
–33.5g CHO (89.3% of energy)
Additives
Added to feeds to increase nutrient content to meet increased needs of the patient.
→ breastmilk fortifier ( FM 85)
→ duocal
→ fantomalt, polycose
→ protifar
→MCT oil
→ thickeners
Breastmilk Fortifier
•Used to increase the nutrient content of breastmilk in exclusively breastfed infants who are either premature or have increased needs that cannot be met by the breastmilk
•NB: only added to breastmilk
•1 scoop/stick=1g per 25ml BM
•Protein: partially hydrolysed
Duocal
•Contains CHO and fat only
•100g powder provides
– 492kcal
– 72.7g CHO
– 22.3g fat
– 65% LCT & 35%MCT
•Protein, gluten, sucrose & lactose-free
•Add in 1g increments
Usual maximum tolerance:
–7g per 100ml infant formula (0-<6months)
–10g per 100ml formula (6-12 months)
•NB! watch protein-energy ratio if >3g/100ml is added
•Dried glucose syrup, fractioned coconut oil, hybrid safflower oil, canola oil, emulsifier
Carbohydrate Module
Fantomalt
•Contains no sucrose, fructose, galactose, gluten, fibre or lactose
•100g powder provides:
–384kcal
–96g CHO
•20kcal/5g scoop
Polycose
•CHO modular powder
•per 100g:
–380kcal
–94g CHO
–2mg Na
–1mg K
–2mg Cl
Protein module:
Protifar
Gluten & fibre-free
100g powder provides:
–87.2g protein
–368 kcal
–1.2g CHO
–1.6g fat
2.5g scoop = 2.2g prot
Milk protein, emulsifier (soy lecithin)
MCT Oil
Lactose and glucose free
Per 100ml:
–855kcal
–95g fat
– >99% MCT
Daily increments:
–1-2g Infants
–5-6g (children)
Thickeners
Used to thicken liquids for patients who are suffering from dysphagia or gastro-oesophageal reflux
→ thick ‘n Easy
→ Nutilis
→ Nestum maize cereal
→ cerelac maize cereal
Thick ‘n Easy
Instant food thickener
•Based on modified maize starch
•Blends quickly and smoothly
•Mixes easily in hot and cold foods and liquids
•Fully digestible
•Releases 98% of fluid back into the digestive system for hydration
•Fibre, gluten & lactose-free
Average content per 100 g
–Energy density 400kcal, 90g CHO
Energy distribution
•Protein0.4 %
•Fat< 0.1 %
•Carbohydrates99.5 %
•Fibre0 %
1-3g/100ml (additional 4-12kcal & 0.89-2.6g CHO)
Nutilis
•Modified maize starch, maltodextrin, taragum, Xanthan gum, guar gum
•Amylase resistant
•Gluten & lactose free
Nutritional composition per 100g:
–358kcal
–0.2g prot
–86.0g CHO
–0.1g fat
–6.4g Dietary fibre
–116mg Na
–4g/scoop
